Jennifer Cortez
Behavior Technician in Fairfield, CA. Individual provider (NPI-1).
NPI number1982248498
StatusActive
Last updated in NPPESOct 29, 2019
Details
- NPI
- 1982248498
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Cortez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 29, 2019
- Last updated
- Oct 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
744 Empire St Ste 160Fairfield, CA 94533-5562
Phone 707-399-9413
Mailing address
2730 Shadelands Dr Bldg 10Walnut Creek, CA 94598-2538
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